Evidence map›Paper›PMID 40034929›Full record

ArticleIranian journal of pathology2024

Clinical Significance of Atypical Squamous and Glandular Cell Lesions in Cervical Smear Screening Cytology: A Two-Year Follow-Up Study in an Iranian Population.

Narges Izadimood, Fatemeh Nili, Soheila Sarmadi, Houra Omdeh Ghiasi, Elham Mirzaeian

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Article in Iranian journal of pathology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Narges IzadimoodDepartment of Pathology, Yas Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
Fatemeh NiliDepartment of Pathology, Imam Khomeini Hospital Complex, Cancer Institute, Tehran University of Medical Sciences.
Soheila SarmadiDepartment of Pathology, Yas Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
Houra Omdeh GhiasiTehran University of Medical Sciences, Tehran, Iran.
Elham MirzaeianDepartment of Pathology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background & Objective: Atypical squamous cells (ASC) are the most common epithelial abnormalities found in cervical cytology reports. The clinical significance of ASC and atypical glandular cells (AGC) varies, making clinical management and follow-up challenges. Methods: All women diagnosed with ASC or AGC in the past 4 years and referred to a tertiary hospital were included. The study evaluated regression, persistence, or progression to significant abnormalities over a two-year follow-up period. Results: Out of 22,386 cervical cytology smears, 208 (4.8%) patients were diagnosed with ASC (ASC-US: 3%, ASC-H: 1.8%) or AGC (0.25%). Among ASC-US patients with documented follow-up, 11 (46%) showed significant abnormalities, while 13 (54%) showed insignificant abnormalities. In the ASC-H group, with available follow-up, 20 (72%) showed significant abnormalities, and 8 (28%) showed insignificant abnormalities. When considering ASC-US and cervical intraepithelial neoplasia 1 (CIN 1) as low-grade lesions, 19 (31%) patients with ASC-H had low-grade, and 13 (69%) had high-grade abnormalities. In the ASC-US group, 10 (99%) patients had low-grade lesions, while only 1 (1%) had high-grade lesions. Among AGC, not otherwise specified (NOS) patients with follow-up, 17 (65%) had significant lesions, and 9 (35%) had insignificant lesions. All 13 patients with AGC, favor neoplastic (FN)/adenocarcinoma in situ (AIS), showed significant lesions. Conclusion: While patients diagnosed with ASC-H and AGC are at a higher risk for significant lesions, ASC-US patients may also develop significant lesions. Thus, ASC-US is clinically significant, and these patients should be closely monitored.

Indexed as

Atypical glandular cellAtypical squamous cellCervixCytologyFollow-up Study

Identifiers

PMID40034929
PMCPMC11872026

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